Dermatology Specialists of Wellesley PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

52765 Issued in MA

Legal business name

DERMATOLOGY SPECIALISTS OF WELLESLEY PC

Practice address

332 Washington St
Wellesley, MA 02481-6219

Phone

(781) 237-3412

Fax

(781) 235-6786

NPI assigned

Jun 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Deborah F Spitz, MD

Title

President Owner

Phone

(781) 237-3412

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice Cleveland Washburn, MD

  • Specialist
  • Wellesley, MA
  • NPI 1134190895
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1104028968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-237-3412",
            "fax_number": "781-235-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-237-3412",
            "fax_number": "781-235-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SPECIALISTS OF WELLESLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "SPITZ",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "781-237-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "52765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3092291",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Demille, RDN
• Michael Demille, DPT
• Lynn H. Dennis, LICSW
• Dermatology & Skin Care Assoc PC
• Dermatology and Skin Care Associates LLC
• Dermpath New England, LLC
• Dermwellesley LLC
• Vincent Desantis, M.D.
• Laura Winchelle Desir, OTR/L
• Judy Destefano

• Dermatology Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.